Lustman P J, Harper G W, Griffith L S, Clouse R E
J Nerv Ment Dis. 1986 Dec;174(12):743-6. doi: 10.1097/00005053-198612000-00006.
In routine clinical practice and in research interviews like the Diagnostic Interview Schedule (DIS), symptoms attributed to physical illness are excluded from contributing positively toward psychiatric diagnoses. The maximal rate of underdiagnosis which results from this diagnostic rule was determined in 114 patients with diabetes mellitus. When symptoms attributed to diabetes (total = 296, mean = 2.6 per patient) were discounted, 256 diagnoses were made. Eighteen additional diagnoses (a 6.7% increase) were appreciated when these excluded symptoms were considered as psychiatrically significant; however, only two of these new diagnoses were given to patients previously without a psychiatric diagnosis. The authors concluded that the DIS is sensitive in its detection of psychiatric illness in diabetes and perhaps other physical illnesses as well.
在常规临床实践以及像诊断性访谈表（DIS）这样的研究访谈中，归因于躯体疾病的症状不会被计入对精神疾病诊断的积极贡献。在114例糖尿病患者中确定了由该诊断规则导致的最大漏诊率。当排除归因于糖尿病的症状（总计296个，平均每位患者2.6个）后，做出了256例诊断。当将这些被排除的症状视为具有精神科意义时，又发现了另外18例诊断（增加了6.7%）；然而，这些新诊断中只有两例是给予之前没有精神疾病诊断的患者。作者得出结论，DIS在检测糖尿病以及可能其他躯体疾病中的精神疾病方面具有敏感性。
